| NPI | 1891978748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OK 2456) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 6797) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2008-04-22 |