| NPI | 1780666156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 10925T) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 10925T) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA 10925T) | |
| 152WP0200X Optometrist, Pediatrics (Licence: CA 10925T) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2022-08-04 |