| NPI | 1023793767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10860TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 10860T) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-08-31 |