| NPI | 1245469154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.005887) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 5887) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2022-03-11 |