| NPI | 1184283277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.006778) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 35085) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2022-11-23 |