| NPI | 1598791592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH Opt007024) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002012) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2022-04-06 |