| NPI | 1194245712 |
|---|---|
| Former Name | CAMERON BLAKE WATERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3398) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 2486) |
| Enumeration Date | 2017-06-24 |
| Last Update Date | 2022-07-21 |