| NPI | 1811345077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 007400) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AR 2746) |
| Enumeration Date | 2016-05-28 |
| Last Update Date | 2025-08-11 |