| NPI | 1780188193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2790) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 9447T) |
| 152W00000X Optometrist (Licence: OK 2985) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2019-06-04 |