NPI | 1811981301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OH 4998/T1868) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OH 4998/T1868) |
Enumeration Date | 2005-09-12 |
Last Update Date | 2010-03-19 |