| NPI | 1679050082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: DO7147) |
| Additional Taxonomies | 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: DO7147) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |