| NPI | 1285017293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 3006) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 8668T) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2020-01-30 |