| NPI | 1699323162 |
|---|---|
| Former Name | CRISTELLE ELISE BUISSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3712) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004193A) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2023-08-04 |