NPI | 1174756142 |
---|---|
Former Name | SUE JIN CHOI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7433) |
Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2634) |
Enumeration Date | 2009-08-25 |
Last Update Date | 2016-11-29 |