| NPI | 1487632626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6561TG) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: TX 6561TG) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2025-07-29 |