| NPI | 1245478551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: OH 5702-S) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: OH 5702-S) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |