| NPI | 1306806625 |
|---|---|
| Former Name | NIKKI JEAN DEGEORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: GA AUD003619) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: GA AUD003619) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-12-11 |