| NPI | 1215378294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9639) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14681) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 14681) | |
| 152W00000X Optometrist (Licence: TX 9377TL) | |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2022-05-12 |