| NPI | 1548517667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9064) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL opc4701) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2020-02-14 |