| NPI | 1750163390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.007225) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2459) |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2024-03-21 |