| NPI | 1386807964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA 13559TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002088) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2022-02-04 |