NPI | 1144206079 |
---|---|
Former Name | DIANA LICHUAN YU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 12381T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 7703T) |
Enumeration Date | 2005-12-22 |
Last Update Date | 2011-11-10 |