| NPI | 1083029946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15289) |
| Additional Taxonomies | 152WV0400X Optometrist Vision Therapy (Licence: NY TUV008204) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2020-12-28 |