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 |