NPI | 1386049617 |
---|---|
Former Name | JENNIFER MCKENNA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: PA F3074) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NJ 25MG00098000) |
Enumeration Date | 2014-10-29 |
Last Update Date | 2014-10-29 |