| NPI | 1457778912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14954TLG) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA 14954TLG) |
| Enumeration Date | 2014-03-23 |
| Last Update Date | 2021-11-17 |