| NPI | 1932804101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH opt.007256) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 3223) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2026-02-12 |