| NPI | 1659994531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH opt.006920) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 2238DT) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2021-07-10 |