| NPI | 1649048661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: MA 6853) |
| Additional Taxonomies | 156FC0800X Technician/Technologist Contact Lens |
| 156FC0801X Technician/Technologist Contact Lens Fitter | |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |