| NPI | 1649610379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10431) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003799A) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2022-05-26 |