| NPI | 1619099231 |
|---|---|
| Former Name | DEBRA DOYLE WELCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: LA ABO Certified 21999) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2023-12-29 |