| NPI | 1194357624 |
|---|---|
| Former Name | TAYLOR JUDITH PROSKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2021020504) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2021-06-07 |