| NPI | 1487900023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1669-703T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 8066T) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2015-10-26 |