| NPI | 1801024716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8342-T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003589A) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2023-09-13 |