| NPI | 1942252820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6118TG) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: KY 1666DT) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-09-16 |