| NPI | 1144661612 |
|---|---|
| Former Name | JESSICA MARIE ROSARIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA 2936) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 80529) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 80529) | |
| 237700000X Hearing Instrument Specialist (Licence: CA 9047) | |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2014-08-19 |