| NPI | 1801985148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 5399) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH OPT.005399) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2024-04-29 |