| NPI | 1568191708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH OPT.007051) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH OPT.007051) |
| Enumeration Date | 2022-06-05 |
| Last Update Date | 2023-07-21 |