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 |