| NPI | 1821576927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA OPT5385) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002703) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2026-03-24 |