NPI | 1356534796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: CA 18736) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 18736) |
Enumeration Date | 2007-08-20 |
Last Update Date | 2007-08-20 |