NPI | 1407855232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6079TG) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 6079TG) |
Enumeration Date | 2005-07-14 |
Last Update Date | 2018-11-27 |