| NPI | 1023647617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.007333) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 2626) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2024-10-23 |