| NPI | 1265480958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 0723) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: ME OPT843) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: NH 0723) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-04-27 |