| NPI | 1992756480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: RI OP00296) |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician (Licence: MA 4328) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-08 |