| NPI | 1033662580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9613) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 9613TG) |
| 152W00000X Optometrist (Licence: TN 3329) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2022-05-27 |