| NPI | 1649043704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10935T) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: TX 10935T) |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |