NPI | 1326591728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9005T) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 9005T) |
152WP0200X Optometrist, Pediatrics (Licence: TX 9005T) | |
Enumeration Date | 2016-08-02 |
Last Update Date | 2023-11-15 |