| NPI | 1518018753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 2688) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 5637) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2021-04-16 |