NPI | 1821277161 |
---|---|
Former Name | VANESSA TRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6111 TG) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 6111 TG) |
Enumeration Date | 2007-11-02 |
Last Update Date | 2011-12-27 |