| NPI | 1013285659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10765TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 2244) |
| Enumeration Date | 2011-12-11 |
| Last Update Date | 2023-10-18 |