| NPI | 1366671075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7921) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13733) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2012-06-26 |