| NPI | 1083617682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5560) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 5560TG) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2022-05-11 |