| NPI | 1801028600 |
|---|---|
| Former Name | JENNIFER MARIE JAWORSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: OH 35123554) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 56584) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2014-11-04 |