| NPI | 1184116097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO opt.0003773) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 9491TG) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2025-07-14 |