| NPI | 1548697675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4986) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA OPT4986) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2024-10-31 |