| NPI | 1184374779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH T7057) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 152W00000X Optometrist (Licence: OH T5057) | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-05-27 |