| NPI | 1255981973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH T6771) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH T6771) |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2020-08-16 |