Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | HSE24695 | FL |
NPI | 1023548328 |
---|---|
Provider Name | Jila Noorikolouri |
First Address | Oklahoma City, OK 73104-5065 |
Second Address | Oklahoma City, OK 73104-5065 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2017 |
Last Update Date | 04/08/2020 |