| NPI | 1215375753 |
|---|---|
| Former Name | OBOESI VANESSA BRAIMAH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14882) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: IL 046010652) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2015-04-09 |