| NPI | 1053840108 |
|---|---|
| Former Name | JENNIFER LYN MOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CO AUD.0000851) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CO AUD.0000851) |
| Enumeration Date | 2017-06-11 |
| Last Update Date | 2024-01-30 |