NPI | 1164095220 |
---|---|
Former Name | JENNIFER JIAYUN ZHANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: CA 35139TLG) |
Additional Taxonomies | 152W00000X Optometrist (Licence: CA 35139TLG) |
Enumeration Date | 2021-07-19 |
Last Update Date | 2024-05-20 |