| NPI | 1245682665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9318TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002931) |
| Enumeration Date | 2016-07-09 |
| Last Update Date | 2021-07-29 |