| NPI | 1487778205 |
|---|---|
| Former Name | JENNIFER RAE GULISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: PA F03885) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TE-005671-L) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2023-03-22 |