NPI | 1295142834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15055) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NV 850) |
152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 15055) | |
152WC0802X Optometrist, Corneal and Contact Management (Licence: NV 850) | |
152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA 15055) | |
152WP0200X Optometrist, Pediatrics (Licence: CA 15055) | |
152WP0200X Optometrist, Pediatrics (Licence: NV 850) | |
152WX0102X Optometrist, Occupational Vision (Licence: CA 15055) | |
152WX0102X Optometrist, Occupational Vision (Licence: NV 850) | |
152WV0400X Optometrist, Vision Therapy (Licence: CA 15055) | |
Enumeration Date | 2014-07-15 |
Last Update Date | 2022-07-29 |