| NPI | 1447328265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OFC36) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 7010TG) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2009-12-02 |