| NPI | 1871255406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 11526) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 35048) |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2026-01-21 |