| NPI | 1053988550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10343TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 10343T) |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2026-01-16 |