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 |