| NPI | 1356932891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI OD-963) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 10070T) |
| 152W00000X Optometrist (Licence: CA OPT34760-TLG) | |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2022-10-24 |