| NPI | 1861748329 |
|---|---|
| Former Name | ELIZABETH ANN RONAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1918) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1892DT) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2022-03-10 |