| NPI | 1609108109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4785) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NH 0837) |
| 152W00000X Optometrist (Licence: NY TUV007514-1) | |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2015-10-30 |