| NPI | 1245959592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: CO OPT.0004163) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 35188) |
| 152W00000X Optometrist (Licence: CO OPT.0004163) | |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2026-09-02 |