| NPI | 1427462035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2440) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 6278) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2019-01-23 |