| NPI | 1760410807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.005079) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008537) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2023-05-19 |