| NPI | 1831780113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: CA 36361) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2026-07-29 |