| NPI | 1366440018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: CA 13467) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1324) |
| 152W00000X Optometrist (Licence: CA 13467) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2022-05-26 |