| NPI | 1366570277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY 006508) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: CT 001413) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |