| NPI | 1093824195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 1074) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 6680T) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-04-10 |