| NPI | 1326720947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10991T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 2007-953AT) |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-10-31 |