| NPI | 1255445219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: OH 5500) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 5500) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: OH 5500) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2025-09-11 |