NPI | 1427364157 |
---|---|
Former Name | MONA AOUDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: RI ODTG00553) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MA 4817) |
Enumeration Date | 2010-08-18 |
Last Update Date | 2018-02-08 |