| NPI | 1245580984 |
|---|---|
| Former Name | YEWANDE OLATEJU OLAGOKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2296) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: NC 2296) |
| 152WL0500X Optometrist Low Vision Rehabilitation (Licence: NC 2296) | |
| 152WP0200X Optometrist Pediatrics (Licence: NC 2296) | |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2019-08-02 |