NPI | 1336427335 |
---|---|
Former Name | JENNIFER A KORT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NY 002404) |
Additional Taxonomies | 231H00000X Audiologist (Licence: MA 954) |
237600000X Audiologist-Hearing Aid Fitter (Licence: NY 14000035414) | |
Enumeration Date | 2011-07-26 |
Last Update Date | 2014-01-07 |