| NPI | 1366920084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 5298) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: RI ODTG00660) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2023-03-14 |