| NPI | 1104472513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: FL DO6738) |
| Additional Taxonomies | 174H00000X Health Educator |
| 174N00000X Lactation Consultant, Non-RN | |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |