NPI | 1972244218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35115) |
Additional Taxonomies | 152WS0006X Optometrist, Sports Vision (Licence: CA 35115) |
152WV0400X Optometrist, Vision Therapy (Licence: CA 35115) | |
Enumeration Date | 2022-04-01 |
Last Update Date | 2022-04-01 |