| NPI | 1922664564 |
|---|---|
| Former Name | DENISE ANNA TRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2712) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002747) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2024-02-14 |