| NPI | 1639861271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: GA LDO001493) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: FL DO5666) |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-05-23 |