| NPI | 1518956861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 921) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001015) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2017-02-19 |