NPI | 1568575561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6060TG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: LA 1607-640T) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2012-06-11 |