| NPI | 1144702275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.007361) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2018029017) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2025-07-01 |