| NPI | 1013479054 |
|---|---|
| Former Name | NANCY TRAN PHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 1108) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 9807) |
| 152W00000X Optometrist (Licence: AL R-283-TA-B89) | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2021-11-02 |