| NPI | 1316437304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: RI ODTG00682) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 3112) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2025-04-22 |