NPI | 1720343478 |
---|---|
Former Name | VALERIE ELAINE NG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14389) |
Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: CA 14389) |
152WV0400X Optometrist, Vision Therapy (Licence: CA 14389) | |
Enumeration Date | 2012-07-09 |
Last Update Date | 2014-12-10 |