| NPI | 1881269470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 5472) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA NA) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2021-08-11 |