| NPI | 1104282359 |
|---|---|
| Former Name | KATAYOON BARADARAN EBRAHIMI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: ND 18004) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NC 2016-01788) |
| 207W00000X Ophthalmology (Licence: PA MD463064) | |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2022-06-13 |