| NPI | 1326415746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.6494) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00663000) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2016-07-13 |