| NPI | 1649294174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: CA 11206T) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA 11206T) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-08-26 |