| NPI | 1447227038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 740) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: ME OPT 882) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2019-01-30 |