| NPI | 1841604287 |
|---|---|
| Former Name | JENNIFER VISK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO 2014039256) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.010797) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2025-09-17 |