| NPI | 1710130224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: OH OPT.005802) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 7293T) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2023-10-15 |