| NPI | 1992961874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7706TG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2008017082) |
| 152W00000X Optometrist (Licence: IA 002566) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2014-07-03 |