NPI | 1639292261 |
---|---|
Former Name | OANH KIM BUI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001925) |
Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002424) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2014-09-23 |