| NPI | 1952892937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6064) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH OPT.006638) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2025-07-21 |