| NPI | 1740272582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 4819) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OH T1684) |
| 152WP0200X Optometrist, Pediatrics (Licence: OH 4819) | |
| 152WS0006X Optometrist, Sports Vision (Licence: OH 4819) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: OH 4819) | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2010-10-31 |