| NPI | 1225578180 |
|---|---|
| Former Name | JESSICA ANN BARTL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10738T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MN 3490) |
| 152W00000X Optometrist (Licence: ND 743) | |
| Enumeration Date | 2017-02-26 |
| Last Update Date | 2022-09-15 |