| NPI | 1174902282 |
|---|---|
| Former Name | JUAN HUANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 1039) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 6245) |
| 152W00000X Optometrist (Licence: AL T-242-TA-B69) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2023-04-28 |