| NPI | 1508803636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13817TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD00003896) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 13817TLG) | |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: WA OD00003896) | |
| 152WP0200X Optometrist, Pediatrics (Licence: CA 13817TLG) | |
| 152WP0200X Optometrist, Pediatrics (Licence: WA OD00003896) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: CA 13817TLG) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: WA OD00003896) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2019-07-16 |