| NPI | 1881655306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 5018) |
| Additional Taxonomies | 152WP0200X Optometrist Pediatrics (Licence: OH 5018) |
| 152WV0400X Optometrist Vision Therapy (Licence: OH 5018) | |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2009-09-01 |