| NPI | 1326480971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8552TG) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 008053) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2022-07-21 |