NPI | 1225784978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: CA 35094) |
Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: CA 35094) |
Enumeration Date | 2022-02-22 |
Last Update Date | 2022-02-22 |