| NPI | 1992133219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH OPT.006221) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 6221) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2021-11-08 |