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 |