NPI | 1316561582 |
---|---|
Former Name | TINA MARIE HAKIMI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA MD-53808) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IA R11890) |
Enumeration Date | 2020-06-03 |
Last Update Date | 2024-12-18 |