| NPI | 1679906697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI OD-948) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 9664TG) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2024-07-17 |