NPI | 1265797997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14413) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 8326T) |
152WP0200X Optometrist, Pediatrics (Licence: CA 14413) | |
152WV0400X Optometrist, Vision Therapy (Licence: CA 14413) | |
Enumeration Date | 2012-07-09 |
Last Update Date | 2018-09-05 |