| NPI | 1255375077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2254DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH OH5208) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-08-30 |