| NPI | 1932575545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 3575) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH OH5925) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2021-07-07 |