NPI | 1013688043 |
---|---|
Former Name | JILLIAN ZALOGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NY 003066) |
Additional Taxonomies | 231H00000X Audiologist |
Enumeration Date | 2021-09-21 |
Last Update Date | 2022-08-03 |