| NPI | 1831459973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8031TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL T-207-TA-920) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2020-10-20 |