| 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 |