| NPI | 1669727293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 730) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 60250939) |
| 152W00000X Optometrist (Licence: CA 14394) | |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2013-10-16 |