| NPI | 1588282164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.007014) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 10069) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2023-10-10 |