NPI | 1033563002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: AZ 2154I) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: AZ 1854) |
Enumeration Date | 2016-04-15 |
Last Update Date | 2018-12-19 |