| NPI | 1982727111 |
|---|---|
| Former Name | JENNIFER LEIGH PRYBYLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 5330000086) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: MI 4901004123) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2015-04-29 |