NPI | 1275762916 |
---|---|
Former Name | ASHLEY JILL EISEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NY 002260-1) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NY 14000026905) |
Enumeration Date | 2009-07-02 |
Last Update Date | 2017-01-25 |