| NPI | 1780798496 |
|---|---|
| Former Name | BUNTHAY CHORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT13240tpa) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007041) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2014-02-18 |