| NPI | 1235858655 | 
|---|---|
| Other Name | QUYNH KIM NGUYEN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA OD61422638)  | 
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 35184)  | 
| Enumeration Date | 2022-08-29 | 
| Last Update Date | 2023-10-25 |