NPI | 1477683258 |
---|---|
Other Name | TINA I. HAMIDEH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA 1951) |
Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001493) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2007-07-08 |