| NPI | 1477592384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 4938T1808) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1410DT) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-08-28 |