| NPI | 1013200575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MA 5887) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: RI OP00320) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |