| NPI | 1912542572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: FL DO5514) |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2020-08-03 |