| NPI | 1174559348 | 
|---|---|
| Former Name | AMY DEE SHORTER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: NH 609)  | 
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: NH 609)  | 
| Enumeration Date | 2006-06-23 | 
| Last Update Date | 2025-09-11 |