NPI | 1558702241 |
---|---|
Former Name | JENNIFER A PAYLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OH 6191) |
Additional Taxonomies | 152W00000X Optometrist (Licence: KY 2046DT) |
Enumeration Date | 2013-07-10 |
Last Update Date | 2019-04-08 |