| NPI | 1760611362 |
|---|---|
| Former Name | TIFFANY ANGIE LAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007421-1) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002533) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2017-01-17 |