| NPI | 1336218445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13242) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 2562ATI) |
| 152WV0400X Optometrist, Vision Therapy (Licence: OR 2562ATI) | |
| 152W00000X Optometrist (Licence: NV 639) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2011-09-13 |