| NPI | 1023636834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 5409) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NH 1018) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2026-02-20 |