| NPI | 1033390943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FC0800X Technician/Technologist, Contact Lens (Licence: CA 162631) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: CA 162631) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |