NPI | 1780069914 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8790T) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 8790T) |
152WP0200X Optometrist, Pediatrics (Licence: TX 8790T) | |
152WX0102X Optometrist, Occupational Vision (Licence: TX 8790T) | |
Enumeration Date | 2015-07-29 |
Last Update Date | 2021-07-15 |