| NPI | 1265579478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 9911T) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA OPT9911 TPG) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2017-02-10 |