NPI | 1811941255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: ME OPT872) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: ME OPT872) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2019-08-29 |