| NPI | 1063901619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 0980) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: ME OPT1001) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2021-06-25 |