| NPI | 1245983550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 5528) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NH 1077) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2023-12-28 |