| NPI | 1205275864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8226-TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 8226-T) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2022-03-23 |