| NPI | 1427047893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MT 5662) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 5436 T2347) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2026-05-22 |