| NPI | 1790711422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: OH 3810) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 3810) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2019-01-21 |