| NPI | 1659133262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: MT 227292) |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-08-06 |