| NPI | 1134275761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5817TG) |
| Additional Taxonomies | 152WV0400X Optometrist Vision Therapy (Licence: TX 5817TG) |
| 152WX0102X Optometrist Occupational Vision (Licence: TX 5817TG) | |
| 207WX0009X Ophthalmology Glaucoma Specialist (Licence: TX 5817TG) | |
| 152WC0802X Optometrist Corneal and Contact Management (Licence: TX 5817TG) | |
| 152WP0200X Optometrist Pediatrics (Licence: TX 5817TG) | |
| 152WS0006X Optometrist Sports Vision (Licence: TX 5817TG) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2019-02-19 |