| NPI | 1285317214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA OPT5737) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL 6331) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2024-09-19 |