NPI | 1639306111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: CA 171366) |
Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens (Licence: CA 171366) |
Enumeration Date | 2009-06-11 |
Last Update Date | 2009-06-11 |