| NPI | 1225873276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.007440) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 011034) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2025-12-15 |