| NPI | 1609979491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7202T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MS 726) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2008-10-07 |