| NPI | 1992726251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 3893) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NH 0623) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2011-11-22 |