| NPI | 1881743193 |
|---|---|
| Former Name | ZHIJUAN WANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13420) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 4573) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2014-09-08 |