| NPI | 1275535825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1859) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 4934) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2022-07-21 |