| NPI | 1326047911 |
|---|---|
| Former Name | JENNIFER ANNE JENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ OPT-002406) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2656) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2024-05-15 |