| NPI | 1265600969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: NY 008716-1) |
| Additional Taxonomies | 156FX1100X Technician/Technologist Ophthalmic (Licence: NY 008716-1) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-06-03 |