NPI | 1871117879 |
---|---|
Former Name | ANITA PANDYA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003256) |
Additional Taxonomies | 261QS1000X Clinic/Center, Student Health |
Enumeration Date | 2020-06-04 |
Last Update Date | 2024-01-17 |