| NPI | 1063571008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FC0800X Technician/Technologist, Contact Lens (Licence: CA B4624) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: CA 43911) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-09 |