| NPI | 1457319113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 3202) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: RI ODTG00508) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2023-05-11 |