NPI | 1558788026 |
---|---|
Former Name | BIBIFATEMEH ATTARHOSSEINI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1974DT) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 8202-T) |
Enumeration Date | 2014-03-24 |
Last Update Date | 2018-07-26 |