| NPI | 1508611724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: RI ODTG00785) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA OPT5701) |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2026-08-07 |