| NPI | 1093787566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4724) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV0065641) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2023-04-07 |