| NPI | 1083507743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 11381) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL R-368-TA-D91) |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2026-02-07 |