| NPI | 1881737906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 2455 TP) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: MA 2455TP) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2022-04-02 |