| NPI | 1336477199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2332) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 6070TG) |
| Enumeration Date | 2009-12-05 |
| Last Update Date | 2022-09-12 |