| NPI | 1811670805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 009961) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA OPT5661) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2024-06-10 |