| NPI | 1649954124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.007245) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004413A) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-08-07 |