| NPI | 1952414054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: CA 12308T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 60037284) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2021-12-30 |