| NPI | 1730977117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046.012143) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH OPT.007381) |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2026-09-02 |