NPI | 1518264969 |
---|---|
Former Name | SACHIE HASE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3017) |
Additional Taxonomies | 152W00000X Optometrist (Licence: GA 002595) |
Enumeration Date | 2011-02-22 |
Last Update Date | 2023-02-13 |