| NPI | 1326480278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1916DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 6213) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2015-09-28 |