| NPI | 1477931954 |
|---|---|
| Former Name | DARYA INOZEMTSEVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SD 767) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH OPT.006790) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2020-11-19 |