| NPI | 1902368939 |
|---|---|
| Former Name | NICOLE DAWN CHARRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.006810) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2968) |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2024-02-06 |