NPI | 1922738475 |
---|---|
Other Name | TIFFANY FUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV009555) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-06-15 |
Last Update Date | 2022-07-25 |