| NPI | 1659502995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: GA LDO 2300) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: NY 0007857) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2018-03-17 |