| NPI | 1962466680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2196DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 2196) |
| 152W00000X Optometrist (Licence: OH 3882) | |
| 163W00000X Registered Nurse (Licence: OH RN149369) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2022-11-17 |