Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 802 | NV |
NPI | 1013324359 |
---|---|
Provider Name | Elizabeth Dong-Hee Suh |
First Address | Las Vegas, NV 89128-1040 |
Second Address | Las Vegas, NV 89128-1040 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2014 |
Last Update Date | 18/07/2014 |