| NPI | 1558845669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 1015) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: RI ODTG00675) |
| 152W00000X Optometrist (Licence: MA 5316) | |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2020-10-22 |