| NPI | 1689137721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: SC 1086) |
| Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens (Licence: SC 461) |
| 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: NY C008352-1) | |
| 156FX1800X Technician/Technologist, Optician (Licence: NY C008352-1) | |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2019-04-06 |