| NPI | 1184240780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 122390029934) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA695800) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2023-10-10 |