| NPI | 1922583665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10408T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO OPT.0003474) |
| 152W00000X Optometrist (Licence: OR AT4706) | |
| 152W00000X Optometrist (Licence: FL OPC6332) | |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2024-04-26 |