| NPI | 1255742532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 11001) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT003303) |
| 152W00000X Optometrist (Licence: CA 15046TLG) | |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2024-02-20 |