| NPI | 1962954735 |
|---|---|
| Former Name | ZELMIRA CANTU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9106T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 1846-780AT) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2021-09-09 |