NPI | 1942794961 |
---|---|
Former Name | KATHLEEN HOANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY 008812) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD61587545) |
Enumeration Date | 2018-06-22 |
Last Update Date | 2025-02-19 |