| NPI | 1760450423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 3846T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 9419) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2008-03-21 |