| NPI | 1932106036 |
|---|---|
| Former Name | ANDREA CHINN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1579DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18003225) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2010-06-14 |