| NPI | 1083822696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4575) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: NH 1098) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2024-02-28 |