| NPI | 1275205106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10220) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 10220T) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2022-08-10 |