| NPI | 1659771038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1101X Technician/Technologist Ophthalmic Assistant |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 156FX1100X Technician/Technologist Ophthalmic | |
| 156FX1201X Technician/Technologist Optometric Assistant | |
| 156FX1202X Technician/Technologist Optometric Technician | |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |