| NPI | 1912517707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA OPT5643) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 34584TLG) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2023-11-08 |