| NPI | 1285147645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: CT 1757) |
| Additional Taxonomies | 156FX1100X Technician/Technologist Ophthalmic (Licence: CT 1757) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2023-05-23 |