NPI | 1518407535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8971TG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CO OPT.0003288) |
152W00000X Optometrist (Licence: TX 8971T) | |
152W00000X Optometrist (Licence: WI 21316-875) | |
Enumeration Date | 2017-02-24 |
Last Update Date | 2024-01-05 |