| NPI | 1801999149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: TX 7336TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.009254) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2012-02-29 |