| NPI | 1962824391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA 14641TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14641TLG) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 14641TLG) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: CA 14641TLG) | |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2018-08-20 |