NPI | 1528353943 |
---|---|
Former Name | LORRIE NGUYEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002382) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00625600) |
Enumeration Date | 2011-06-14 |
Last Update Date | 2017-03-21 |