NPI | 1386870590 |
---|---|
Former Name | JACQUELINE L SPRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2009012808) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MO 2009012808) |
Enumeration Date | 2009-06-02 |
Last Update Date | 2024-03-11 |