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 |