| NPI | 1538834932 |
|---|---|
| Former Name | DIANA YAKUBYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 1087) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 34748) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2022-06-10 |