| NPI | 1821448168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 0927) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 5140) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2021-12-06 |