| NPI | 1629891007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 11257) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618003457) |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-05 |