NPI | 1518552041 |
---|---|
Former Name | MAYISHA AHSAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY 009310) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CT 3222) |
152W00000X Optometrist (Licence: VA 0618002995) | |
152W00000X Optometrist (Licence: FL TPOP57) | |
152W00000X Optometrist (Licence: WI 3731-35) | |
Enumeration Date | 2021-03-05 |
Last Update Date | 2022-02-28 |