NPI | 1659975308 |
---|---|
Other Name | KIM CHAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10132TG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: TX 10132) |
152W00000X Optometrist (Licence: TX 10132T) | |
Enumeration Date | 2020-11-24 |
Last Update Date | 2021-03-28 |