| NPI | 1992895965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 4973) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: OH 4973) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-10-15 |