NPI | 1083055693 |
---|---|
Former Name | DEANA SYLVIA SATAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CO OPT.0003852) |
Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1772) |
152W00000X Optometrist (Licence: TN 3602) | |
Enumeration Date | 2013-07-11 |
Last Update Date | 2023-06-05 |