| NPI | 1629776497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: OH OP11434S) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: OH S.11434) |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-02-26 |