| NPI | 1215317474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15219) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: CA 15219) |
| 152WL0500X Optometrist Low Vision Rehabilitation (Licence: CA 15219) | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2019-07-17 |