NPI | 1427211473 |
---|---|
Former Name | JASMINE VU WONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13650TLG) |
Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA OPT13650TLG) |
Enumeration Date | 2008-07-09 |
Last Update Date | 2016-11-02 |