| NPI | 1285899278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: RI RI0264) |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician (Licence: RI 264) |
| Enumeration Date | 2008-07-19 |
| Last Update Date | 2008-09-30 |