| NPI | 1548870843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9991) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 9991T) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2022-07-05 |