| NPI | 1447447917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5227) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 5227TG) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2014-05-13 |