| NPI | 1356699276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7947TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 7947T) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2020-05-29 |