| NPI | 1295819035 |
|---|---|
| Former Name | JANNA HAMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4337) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1279) |
| 152W00000X Optometrist (Licence: DC 685) | |
| 152W00000X Optometrist (Licence: VA 0618000196) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |