| NPI | 1265433924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7500TG) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 7500TG) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: MI 4901004284) | |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2022-02-28 |