| NPI | 1144363896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6321TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2405) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |