NPI | 1245383843 |
---|---|
Former Name | MAY TYAN WONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8721T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 11240T) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2015-12-11 |