| NPI | 1215440243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1201X Technician/Technologist, Optometric Assistant |
| Additional Taxonomies | 156FX1202X Technician/Technologist, Optometric Technician |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-14 |