| NPI | 1922537653 |
|---|---|
| Former Name | JESSICA LYNNE COWLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: WI 3661-35) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 0003420) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2022-12-09 |