| NPI | 1295951580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FC0800X Technician/Technologist, Contact Lens (Licence: FL DO5698) |
| Additional Taxonomies | 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: FL DO5698) |
| 156FX1800X Technician/Technologist, Optician (Licence: FL DO5698) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |