| NPI | 1588978100 |
|---|---|
| Other Name | JEANNETTE AIDEE WONG AMIEVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7620T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003668A) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2014-02-14 |