| NPI | 1427619022 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FC0801X Technician/Technologist, Contact Lens Fitter |
| Additional Taxonomies | 156FX1100X Technician/Technologist, Ophthalmic |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2023-03-13 |