| NPI | 1780992347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7572TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13967) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2024-10-13 |