NPI | 1699165357 |
---|---|
Former Name | AZADEH KARIMI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: MA 5075) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AZ AZ) |
Enumeration Date | 2015-02-02 |
Last Update Date | 2022-07-21 |