| NPI | 1144223058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 02539TG) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: TX 02539TG) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2015-07-15 |