| NPI | 1154807345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33978TLG) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 33978TLG) |
| 152WP0200X Optometrist, Pediatrics (Licence: CA 33978tlg) | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2019-01-09 |