NPI | 1558474726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5822TG) |
Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: TX 5822TG) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2025-09-11 |