NPI | 1417469412 |
---|---|
Former Name | MEERA SHAILESH PATEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10277TG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003500) |
152W00000X Optometrist (Licence: NJ 27OA00677000) | |
Enumeration Date | 2017-10-30 |
Last Update Date | 2022-04-28 |