| NPI | 1497721427 |
|---|---|
| Other Name | DANITA SAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: CA 8019 TPL) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 8019TLG) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2020-01-03 |