| NPI | 1114036324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 5242/ T2146) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1536DT) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-06-28 |