| NPI | 1255567467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ME OPT909) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ME OPT909) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2010-06-27 |