| NPI | 1073692018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT 8316 TPA) |
| Additional Taxonomies | 152WP0200X Optometrist Pediatrics (Licence: CA OPT 8316 TPA) |
| 152WV0400X Optometrist Vision Therapy (Licence: CA OPT 8316 TPA) | |
| 152WX0102X Optometrist Occupational Vision (Licence: CA OPT 8316 TPA) | |
| 156FC0801X Technician/Technologist Contact Lens Fitter (Licence: CA OPT 8316 TPA) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2023-03-07 |