| NPI | 1326483405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: GA LDO002220) |
| Additional Taxonomies | 156FC0801X Technician/Technologist Contact Lens Fitter (Licence: GA LDO002220) |
| 156FC0800X Technician/Technologist Contact Lens (Licence: GA LDO002220) | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2014-05-02 |