| NPI | 1821733718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: RI ODTG00728) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA OPT8291) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2026-04-20 |