| NPI | 1376984583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8163T) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: TX 8163T) |
| 152WP0200X Optometrist Pediatrics (Licence: TX 8163T) | |
| 152WX0102X Optometrist Occupational Vision (Licence: TX 8163T) | |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2016-05-09 |