| NPI | 1831714625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA OPT5671) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: RI CODTG00690) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2024-06-15 |