| NPI | 1760794242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7605TG) |
| Additional Taxonomies | 152WP0200X Optometrist Pediatrics (Licence: TX 7605TG) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2024-06-19 |