| NPI | 1922607274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10130T) |
| Additional Taxonomies | 152WX0102X Optometrist, Occupational Vision (Licence: TX 10130T) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-11-06 |