| NPI | 1205210960 |
|---|---|
| Former Name | LINDA THI NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2015023051) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010913) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2020-06-10 |