| NPI | 1336597962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: TX 8889) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL T225TAA40) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2023-10-13 |