| NPI | 1811397896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.006340) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO OPT.0003091) |
| 152W00000X Optometrist (Licence: OH 6340) | |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2023-11-01 |