| NPI | 1629014089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 1027) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2013003686) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2022-03-02 |