| NPI | 1073367132 |
|---|---|
| Former Name | JASMINE COLANGELO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WA 61673832) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 0004063) |
| 152W00000X Optometrist (Licence: FL 6623) | |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2025-07-17 |