NPI | 1780939637 |
---|---|
Former Name | CLAIRE M WONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 5120) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NV 736) |
Enumeration Date | 2012-07-17 |
Last Update Date | 2018-12-27 |