| NPI | 1124487020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: CA 196557) |
| Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens (Licence: CA 196557) |
| 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: CA 196557) | |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |