| NPI | 1376902627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 0920) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 5135) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2022-10-18 |