| NPI | 1275149973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10700) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD61067162) |
| 152W00000X Optometrist (Licence: CA 35125) | |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2023-02-17 |