| NPI | 1609259944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9416TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008323) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2022-12-02 |