| NPI | 1609833870 |
|---|---|
| Former Name | ANGELA B ABRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4848) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC SC1069) |
| Enumeration Date | 2006-04-29 |
| Last Update Date | 2023-07-14 |