| NPI | 1841034808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ OPT-002929) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA OPT5733) |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2026-04-20 |