| NPI | 1194088252 | 
|---|---|
| Former Name | DIEMCHI HOANG NGUYEN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD61371005) | 
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007843-1) | 
| 152W00000X Optometrist (Licence: TX 8987TG) | |
| Enumeration Date | 2012-06-22 | 
| Last Update Date | 2023-05-23 |