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 |