| NPI | 1639309107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122400000X Denturist |
| Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2009-07-19 |
| Last Update Date | 2009-07-19 |