| NPI | 1295928729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7204T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2545) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2009-11-04 |