| NPI | 1457322695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6840TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG000235) |
| 152W00000X Optometrist (Licence: AZ 1288) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2008-11-17 |