| NPI | 1093269284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9812TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 1819-753AT) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2023-10-22 |