NPI | 1033433925 |
---|---|
Former Name | JESSICA EVA CHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101255636) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0079349) |
207WX0009X Ophthalmology, Glaucoma Specialist (Licence: VA 0101255636) | |
Enumeration Date | 2010-03-21 |
Last Update Date | 2020-04-24 |