NPI | 1912159591 |
---|---|
Former Name | VANDANA GANDHI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010198) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CT 2760) |
Enumeration Date | 2008-10-15 |
Last Update Date | 2013-08-28 |