| NPI | 1902357296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15254) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: CA 15254) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2019-05-29 |