| NPI | 1891218673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT33783TLG) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA OPT33783TLG) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA OPT33783TLG) | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2021-12-06 |