| 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 | 2007-07-09 |