| NPI | 1982992533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 6043/T2958) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1842DT) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2017-03-27 |