| NPI | 1609257070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH opt.6420) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 6420) |
| 152WP0200X Optometrist, Pediatrics (Licence: OH opt.6420) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: OH opt.6420) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2020-01-03 |