| NPI | 1841647583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: GA OPT002928) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH OH-3852-T408) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2022-07-21 |