| NPI | 1588135305 |
|---|---|
| Former Name | SHANA LEIGH BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: GA LDO002616) |
| Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens (Licence: GA 191721) |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2023-05-19 |