| NPI | 1720711781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 235500000X Specialist/Technologist |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-07-14 |