| NPI | 1588970479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1202X Technician/Technologist, Optometric Technician |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: TX B1775413) |
| 156FX1101X Technician/Technologist, Ophthalmic Assistant | |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |