| NPI | 1609091032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6287T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AR 2527) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2011-07-19 |