NPI | 1528443504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: GA LDO002633) |
Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens (Licence: GA LDO002633) |
156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: GA LDO002633) | |
Enumeration Date | 2015-07-20 |
Last Update Date | 2015-07-20 |