| NPI | 1023205283 |
|---|---|
| Former Name | DONNA SIMONIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: NH 0820) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13412TPA) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2012-01-26 |