| NPI | 1669690228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OP9290T) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: CA OP9290T) |
| 152WV0400X Optometrist, Vision Therapy (Licence: CA OP9290T) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2012-08-31 |