| NPI | 1447859913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9939TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 9939) |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2022-06-09 |