| NPI | 1336577345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8150-TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 2347) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2016-10-06 |