| NPI | 1730215930 |
|---|---|
| Former Name | JENNIFER LYNN BRAUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: VA 0618001612) |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2014-09-22 |