| NPI | 1255584926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 6086) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 7317TG) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2018-01-05 |