| NPI | 1922857044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA OPT5715) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: MA OPT5715) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2025-07-10 |