| NPI | 1821078999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 4152) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901004474) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2023-11-03 |