| NPI | 1346698529 |
|---|---|
| Former Name | JORDAN ANNE PINOZEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 3961-35) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 34181) |
| Enumeration Date | 2016-05-29 |
| Last Update Date | 2024-11-11 |