| 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 |