| NPI | 1780026765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: TX 8178TG) |
| Additional Taxonomies | 152WS0006X Optometrist, Sports Vision (Licence: TX 8178TG) |
| 152WP0200X Optometrist, Pediatrics (Licence: TX 8178TG) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: TX 8178TG) | |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2020-02-13 |