| NPI | 1336109115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 7849TPG) |
| Additional Taxonomies | 152WP0200X Optometrist Pediatrics (Licence: CA 7849TPG) |
| 152WV0400X Optometrist Vision Therapy (Licence: CA 7849TPG) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2016-11-02 |