| NPI | 1861183014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10877) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL 6249) |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2025-07-11 |