| NPI | 1356361570 |
|---|---|
| Former Name | CHERYL LYNNE GOODING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 6083) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046009883) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2023-02-14 |