| NPI | 1770239709 |
|---|---|
| Former Name | VANESSA QUYNH NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 35097TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 35097) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2024-01-05 |