| NPI | 1487882502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13712) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: CA 13712) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2014-03-27 |