| NPI | 1427217538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8818T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13462T) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2019-10-12 |