NPI | 1073726618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MA 4719) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: RI OP00285) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2007-07-08 |