| NPI | 1083182398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34133TLG) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 34133TLG) |
| 152WP0200X Optometrist, Pediatrics (Licence: CA 34133TLG) | |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2022-09-02 |