| NPI | 1366289886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA3078) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 11116) |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2025-06-13 |