| NPI | 1285689877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 07352T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 2654) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-10-13 |