| NPI | 1205914504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.004543) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC6883) |
| 152W00000X Optometrist (Licence: GA OPT003412) | |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: OH OH4543) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2026-03-23 |