| NPI | 1396131181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Additional Taxonomies | 156FC0800X Technician/Technologist Contact Lens |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2021-02-25 |