| NPI | 1104523190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: OP.14685S) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: OH OP.14685-S) |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-02-10 |