| NPI | 1720176266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 829) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 4735) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2018-07-09 |