| NPI | 1952553257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1202X Technician/Technologist, Optometric Technician (Licence: MN ID#35227) |
| Additional Taxonomies | 156FX1900X Technician/Technologist, Orthoptist |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2008-10-17 |