NPI | 1528297173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: CA 14213) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14213) |
152WV0400X Optometrist, Vision Therapy (Licence: CA 14213) | |
Enumeration Date | 2009-07-03 |
Last Update Date | 2019-01-17 |