NPI | 1013682178 |
---|---|
Former Name | JESSICA LOWERY BISHOP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: KY 278747) |
Additional Taxonomies | 231H00000X Audiologist (Licence: IN 23002829A) |
Enumeration Date | 2021-08-11 |
Last Update Date | 2025-06-10 |