| NPI | 1477739100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: RI ODTA00538) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 4642) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2022-09-21 |