| NPI | 1891941589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: LA 88774) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: MN 88774) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2025-03-19 |