| NPI | 1245503671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 6025/T2940) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC4867) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2022-07-21 |