| NPI | 1730689621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 10279TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH OPT.006608) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2024-04-17 |