| NPI | 1942314943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6917TG) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 6917TG) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2011-06-23 |