| NPI | 1518312503 |
|---|---|
| Former Name | JACQUELINE SU-YUO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33604TLG) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2024-03-26 |