| NPI | 1932691136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.006656) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 6656) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2023-04-04 |