| NPI | 1285369884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: VA 1101002887) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: VA 1101002887) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |