| NPI | 1194895169 |
|---|---|
| Former Name | MERSEDEH SAFARI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3134AT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA 3996) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2016-01-20 |