| NPI | 1679906127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8256-T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 1647-681T) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2023-08-21 |