| NPI | 1972732436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 5944) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 3150-035) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2016-09-21 |