NPI | 1952968562 |
---|---|
Former Name | SILVA KHALIL ACHMAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1912-848AT) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901005244) |
Enumeration Date | 2019-05-20 |
Last Update Date | 2020-05-19 |