| NPI | 1003322363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: 009849-1) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: NY 009849-1) |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2017-12-22 |