| NPI | 1497337091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 1044) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VT 030.0133944) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-07-30 |