| NPI | 1922483098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8636TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA 2477) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2020-12-04 |