| NPI | 1922190321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: CA 11211T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 11211) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2025-01-09 |