| NPI | 1669795274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7223TG) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: TX TX7223TG) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2021-07-06 |