| NPI | 1245857226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NM OPT725) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 9972T) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2021-08-19 |