NPI | 1821048802 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6495TG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 12775 TPA) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2012-09-27 |