| NPI | 1982707808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8207T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PR 610) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2019-06-24 |