NPI | 1265744379 |
---|---|
Former Name | JENNIFER LEHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002338) |
Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002590) |
Enumeration Date | 2010-07-06 |
Last Update Date | 2023-09-20 |