| NPI | 1558578559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7494TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007121) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-01-03 |