NPI | 1053794529 |
---|---|
Former Name | SARA MASOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002406) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA 2523) |
Enumeration Date | 2015-07-02 |
Last Update Date | 2016-05-18 |