NPI | 1942582440 |
---|---|
Former Name | NAZANIN SHAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD 60563438) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WA 60563438) |
152W00000X Optometrist (Licence: NY 007153) | |
Enumeration Date | 2011-09-12 |
Last Update Date | 2019-09-26 |