| NPI | 1639341498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6971TG) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: TX 6971TG) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2024-09-12 |