| NPI | 1003393273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: RI ODGT00711) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008838) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2023-03-19 |