| NPI | 1366935587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.006651) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004092A) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2020-04-06 |