| NPI | 1568766947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14089) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 14089) |
| 152WX0102X Optometrist, Occupational Vision (Licence: CA 14089) | |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2013-11-25 |