| NPI | 1427357763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7330TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 5820/T2744) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2011-03-25 |