| NPI | 1982004370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156F00000X Technician/Technologist |
| Additional Taxonomies | 156FX1100X Technician/Technologist, Ophthalmic |
| 246ZS0410X Specialist/Technologist, Other, Surgical Technologist | |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |