| NPI | 1093236416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9600TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT003039) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2019-09-24 |