| NPI | 1285082594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8872T) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: TX 8872T) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-07-28 |