| NPI | 1417505363 |
|---|---|
| Former Name | JANE ROSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IN 23002698A) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IL 147001732) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2022-04-20 |