NPI | 1427490077 |
---|---|
Former Name | NEDA GHANBARI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14636) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 14636) |
Enumeration Date | 2013-07-24 |
Last Update Date | 2021-12-14 |