| NPI | 1205903556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: GA 45207) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA 45207) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2013-02-08 |