| NPI | 1336339167 |
|---|---|
| Former Name | TIFFANIE RENEE CHILDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7059TG) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 7059TG) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2024-02-29 |