NPI | 1912230517 |
---|---|
Former Name | DINA ISKANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007504) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC4448) |
Enumeration Date | 2009-09-14 |
Last Update Date | 2017-11-14 |