| NPI | 1164781803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: TX dr4124) |
| Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens (Licence: TX dr4124) |
| 156FX1800X Technician/Technologist, Optician (Licence: KY 077000) | |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2025-06-09 |