| NPI | 1356310353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3150) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH OPT.5605-THER) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2013-11-26 |