| NPI | 1629635636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 1019) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 0NEWGRAD) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2020-10-21 |