| NPI | 1114570181 |
|---|---|
| Former Name | JESSICA SAWICKI KAZBOUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001732) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: FL AY2272) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |