| NPI | 1922043496 |
|---|---|
| Former Name | JENNIFER KAREN MARSHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT 002111) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 4030) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2024-06-13 |