| NPI | 1144533910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OH7090) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 002814) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2025-03-21 |