| NPI | 1669170163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: OH OP.145445S) |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician (Licence: OP.14544S) |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-12-11 |