| NPI | 1033226535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: VA 0618001806) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 6929TG) |
| 152W00000X Optometrist (Licence: VA 0618001806) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2024-07-24 |