| NPI | 1164787628 |
|---|---|
| Former Name | SELENA CONSTANCE CHU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 33549) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002662) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2024-06-12 |