NPI | 1275941874 |
---|---|
Other Name | AN TAM HUYNH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL 5474) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 8577T) |
Enumeration Date | 2014-07-27 |
Last Update Date | 2018-07-10 |