| NPI | 1114448651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10471) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT34222) |
| 152W00000X Optometrist (Licence: AL T-232-TA-A74) | |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2022-07-21 |