| NPI | 1326737198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.007281) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 5605) |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2024-09-16 |