| NPI | 1457669160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: PR 674) |
| Additional Taxonomies | 156FC0800X Technician/Technologist Contact Lens (Licence: PR NONE) |
| 156FC0801X Technician/Technologist Contact Lens Fitter (Licence: PR NONE) | |
| 156FX1101X Technician/Technologist Ophthalmic Assistant (Licence: PR NONE) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |