| NPI | 1629074612 |
|---|---|
| Former Name | ANGELA M EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8576TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2386) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2015-04-29 |