| NPI | 1386836591 |
|---|---|
| Other Name | VAN B LY-REYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 60013431) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OR 3211ATI) |
| Enumeration Date | 2007-08-11 |
| Last Update Date | 2015-01-26 |