| NPI | 1912065160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 3777) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: OH 3777) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-01-24 |