| NPI | 1669745782 |
|---|---|
| Former Name | THIEN KIM TRAN NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 15154) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1826) |
| 152W00000X Optometrist (Licence: GA 003273) | |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2020-09-27 |