| NPI | 1528475746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: RI ODTG00642) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OEG002922) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2020-06-15 |