NPI | 1295301356 |
---|---|
Former Name | DOROTHY KAREN NG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 34848) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-05-31 |
Last Update Date | 2022-03-20 |