| NPI | 1376589234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1636DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 6761TG) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-03-05 |