| NPI | 1487634945 |
|---|---|
| Former Name | JEANETTE LYNN O'BRIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000060) |
| Additional Taxonomies | 231H00000X Audiologist |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2018-10-19 |