| NPI | 1689350985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA OPT7174) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL 6255) |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2024-12-31 |