| NPI | 1215439476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.006908) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00678400) |
| 152W00000X Optometrist (Licence: NJ 27OM00146000) | |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2021-12-22 |