| NPI | 1043875735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA OPT5478) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: RI ODTG00683) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2026-05-20 |