| NPI | 1861701385 |
|---|---|
| Former Name | THUY-DIEM NGUYEN NGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14292TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1778) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2015-07-07 |