| NPI | 1922520501 |
|---|---|
| Former Name | HALEY NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 2428) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA 3045) |
| 152WV0400X Optometrist, Vision Therapy (Licence: GA OPT003045) | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2020-10-06 |