| NPI | 1902535149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10713TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH OPT.007053) |
| Enumeration Date | 2022-06-05 |
| Last Update Date | 2024-05-17 |