| NPI | 1679323026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: AZ LDO-003154) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: VA 1101004099) |
| 156FX1800X Technician/Technologist, Optician (Licence: FL DO07457) | |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |