| NPI | 1578650149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FC0800X Technician/Technologist, Contact Lens |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: WA D2024) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |