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 |