| NPI | 1083783435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: CA 9350T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 9350) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2019-01-18 |