| NPI | 1851520043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 6181) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13725) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2022-07-21 |