NPI | 1871575092 |
---|---|
Other Name | PHUONG-Y M. LE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 152W00000X Optometrist (Licence: OR 2788 AT) |
Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: OR 2788 AT) |
Enumeration Date | 2005-11-15 |
Last Update Date | 2007-07-08 |