| NPI | 1154673648 |
|---|---|
| Former Name | JENNIFER SHALLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA AU2860) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CO AUD.000849) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2022-08-02 |