| NPI | 1992951750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist Pediatrics (Licence: CT 2848) |
| Additional Taxonomies | 152WP0200X Optometrist Pediatrics (Licence: MA 4660) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2022-04-25 |