| NPI | 1578208328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 1086) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 3250) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2023-11-06 |