| NPI | 1386066298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: CA 14729TLG) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: CT 2896) |
| Enumeration Date | 2014-01-11 |
| Last Update Date | 2021-09-21 |