NPI | 1902184633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8802TG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2254) |
Enumeration Date | 2011-07-29 |
Last Update Date | 2025-02-25 |