| NPI | 1356178065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.004382) |
| Additional Taxonomies | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: OH OPT.004382) |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |