| NPI | 1154413490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OH4564) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH OPT.004564) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2024-04-29 |