| NPI | 1336707082 |
|---|---|
| Former Name | LESLIE SOMOHANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC005989) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 1689870602) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2022-04-27 |