| NPI | 1528657244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.006931) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2021-01-16 |
| Last Update Date | 2021-03-09 |