| NPI | 1679764914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7132-T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 1541) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2013-07-20 |