| NPI | 1558438101 |
|---|---|
| Former Name | THAO DUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA OPT5329) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 11418T) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2023-09-26 |