| NPI | 1700269990 |
|---|---|
| Former Name | JENNA KAMPSCHNEIDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KS 2029) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NE 1444) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2016-07-01 |