| NPI | 1265683908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7291TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14332 TLG) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2012-02-23 |