NPI | 1164781803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: TX dr4124) |
Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens (Licence: TX dr4124) |
Enumeration Date | 2012-05-15 |
Last Update Date | 2012-05-15 |