| NPI | 1356783468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8253TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 8253T) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2014-02-28 |