| NPI | 1750877882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9520TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 9520T) |
| Enumeration Date | 2018-07-01 |
| Last Update Date | 2020-11-12 |