| NPI | 1356628846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: CA SL5735) |
| Additional Taxonomies | 156FC0800X Technician/Technologist Contact Lens (Licence: CA CL1788) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |