| NPI | 1306802178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 5117) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NH NH0717) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2022-06-14 |