| NPI | 1699333625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.006795) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 6795) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2024-08-28 |