| NPI | 1265663173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: OR 22027) |
| Additional Taxonomies | 156FX1101X Technician/Technologist, Ophthalmic Assistant (Licence: OR 96750) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-28 |