| NPI | 1437832581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.007433) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 10988) |
| 152W00000X Optometrist (Licence: MD 2922) | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2025-11-13 |