| NPI | 1437545779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CT 1695) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2022-06-15 |