NPI | 1770601577 |
---|---|
Other Name | GOLIE ROSHANDEL KEOVAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009499) |
Additional Taxonomies | 152W00000X Optometrist (Licence: HI OD-991) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2023-09-22 |