| NPI | 1679592349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13105) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NV 732) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2013-08-01 |