| NPI | 1720821838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 011073) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA OPT8298) |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2025-10-20 |