| 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 |