NPI | 1871783258 |
---|---|
Former Name | (CINDY) TRAM NGOC DANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 7684T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: AR 2593) |
152W00000X Optometrist (Licence: WI 3180-35) | |
Enumeration Date | 2007-07-31 |
Last Update Date | 2013-09-30 |