| NPI | 1790867091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: CA 11405T) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 11405T) |
| 152WP0200X Optometrist, Pediatrics (Licence: CA 11405T) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-01-24 |