| NPI | 1528419694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8879TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 8879T) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2023-11-27 |