| NPI | 1831218387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA ma2516) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA ma3427) |
| 156FX1800X Technician/Technologist, Optician (Licence: MA ma4856) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2025-09-11 |