| NPI | 1053336941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1293) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 10949) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2025-12-02 |