| NPI | 1902526098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2428DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 10662) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2025-05-27 |