| NPI | 1376684415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 4189 T1653) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 4198) |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2024-04-27 |