NPI | 1134306574 |
---|---|
Former Name | SALUMEH RASTANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT13653) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2058) |
Enumeration Date | 2008-01-29 |
Last Update Date | 2016-11-15 |