| NPI | 1922668342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 3143) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NH 994) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2022-06-17 |