| NPI | 1659670933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: VA 1101-003025) |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2024-02-23 |