| NPI | 1205695087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Additional Taxonomies | 156FC0800X Technician/Technologist Contact Lens |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-09-24 |