| NPI | 1508405952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: GA LDO002432) |
| Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens (Licence: GA LDO002432) |
| 156FC0800X Technician/Technologist, Contact Lens (Licence: SC 615) | |
| 156FX1800X Technician/Technologist, Optician (Licence: SC 1233) | |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |