| NPI | 1780302372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35073) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: CA 35073) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2023-01-04 |