NPI | 1205814365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6517T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CO 2152) |
152W00000X Optometrist (Licence: OR 2802T) | |
Enumeration Date | 2006-01-08 |
Last Update Date | 2007-07-08 |