| NPI | 1639261647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2424DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 2424TG) |
| 152W00000X Optometrist (Licence: TX 9136TG) | |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 9136TG) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2025-10-03 |