| NPI | 1245224476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.006182) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18002418) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2022-09-20 |