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 |