| NPI | 1982434346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.007410) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901005813) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2025-08-19 |