| NPI | 1528816899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA OPT5716) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NH 1504) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2025-07-08 |