| NPI | 1669881967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15079) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 15079) |
| 152WP0200X Optometrist, Pediatrics (Licence: CA 15079) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: CA 15079) | |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2016-06-30 |