| NPI | 1437237385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1687) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007116) |
| 152W00000X Optometrist (Licence: OH T2694) | |
| 152W00000X Optometrist (Licence: OH 5780) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-03-09 |