NPI | 1922469329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8853TG) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 8853TG) |
Enumeration Date | 2016-03-11 |
Last Update Date | 2017-04-25 |