| NPI | 1467575373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FC0800X Technician/Technologist Contact Lens (Licence: NY 5536217) |
| Additional Taxonomies | 156FC0801X Technician/Technologist Contact Lens Fitter (Licence: NY 5536217) |
| 156FX1800X Technician/Technologist Optician (Licence: NY C006861-1) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |