| NPI | 1184308280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 1087) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 3298) |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2026-05-26 |