| NPI | 1861542359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 572) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13045) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-02-14 |