| NPI | 1851959761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2172DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 006893) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2021-10-15 |