| NPI | 1811120538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: RI ODTG00623) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: RI CODTG00623) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2020-07-06 |