| NPI | 1902873862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 6506) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 6506) |
| 152WP0200X Optometrist, Pediatrics (Licence: CA 6506) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2024-07-16 |