| NPI | 1720288285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4709) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: RI ODTA00527) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2022-09-21 |