| NPI | 1831105691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 5274) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV0059121) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2019-05-20 |