| NPI | 1295834299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 08128T) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: CA 08128T) |
| 225400000X Rehabilitation Practitioner (Licence: CA 08128T) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2018-01-29 |