| NPI | 1316460405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9375TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008525-1) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2023-12-15 |