| NPI | 1043240831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6254TG) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: FL OPC3741) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: TX 6254TG) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2019-11-19 |