| NPI | 1942868666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 5352) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MA 5352) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2020-07-08 |