| NPI | 1003879727 |
|---|---|
| Former Name | KRISTEN LYNN JALOSZYNSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 2314) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: IA 2314) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2012-01-27 |