| NPI | 1124104690 |
|---|---|
| Former Name | ANNA MARIA LOUISE RUGGLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 5569/T2483) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 5569) |
| 152W00000X Optometrist (Licence: KY 1657T) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2012-02-03 |