| NPI | 1548356066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NY C-005518-1) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: NY C005518-1) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-10-21 |