| NPI | 1689054629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9068TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 1836-770AT) |
| 152W00000X Optometrist (Licence: OK 2844) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2022-07-21 |