| NPI | 1184764011 |
|---|---|
| Former Name | FARNAZ TAVASSOLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT13395TPL) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA 1989) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2024-12-09 |