NPI | 1497167506 |
---|---|
Former Name | JESSICA LYNN SPRATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MN 9298) |
Additional Taxonomies | 231H00000X Audiologist (Licence: TX 80557) |
Enumeration Date | 2014-05-22 |
Last Update Date | 2018-03-30 |