NPI | 1629141254 |
---|---|
Former Name | AMINA JAMAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8614T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046-009442) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2023-09-25 |