| NPI | 1851735641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14860) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NV 750) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2020-01-13 |