| NPI | 1346779147 |
|---|---|
| Former Name | AMBER FATIMA SHAH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: IL 046.011496) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.011496) |
| 152W00000X Optometrist (Licence: NY 008568) | |
| 152W00000X Optometrist (Licence: CA 34213TLG) | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2021-06-10 |