| NPI | 1659251262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 011309) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA OPT8333) |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-10-30 |