| NPI | 1063442713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: RI ODTG00516) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: RI ODTA00475) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-01-06 |