| NPI | 1396442653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT35403TLG) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: CA OPT35403TLG) |
| 152WV0400X Optometrist, Vision Therapy (Licence: CA OPT35403TLG) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-05-06 |