| NPI | 1740911221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: VA 1101004504) |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician (Licence: KY 276038) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2023-05-20 |