| NPI | 1326591801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 5400) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002727) |
| 152W00000X Optometrist (Licence: NY TUV008411) | |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2022-01-26 |