| NPI | 1851727820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9877) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NM 654) |
| Enumeration Date | 2013-09-22 |
| Last Update Date | 2021-01-28 |