| NPI | 1003032301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156F00000X Technician/Technologist (Licence: 70392) |
| Additional Taxonomies | 156FX1100X Technician/Technologist Ophthalmic (Licence: 70392) |
| 156FX1101X Technician/Technologist Ophthalmic Assistant (Licence: 70392) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |