| NPI | 1700521978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 011289) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA OPT5564) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2026-01-11 |