| NPI | 1619379278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14986) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NV 814) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2024-05-01 |