| NPI | 1588382725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10536) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT003696) |
| 152W00000X Optometrist (Licence: SC 2515) | |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2026-02-10 |