| NPI | 1235743220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1202X Technician/Technologist, Optometric Technician |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
| Enumeration Date | 2020-09-07 |
| Last Update Date | 2020-09-07 |