| NPI | 1679773998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 599) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 7107T) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2008-12-18 |