| NPI | 1770746612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7216TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007518) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2019-07-10 |