| 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 |