| NPI | 1760709125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MN 2148) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |