| NPI | 1497367569 |
|---|---|
| Former Name | JADE HAMMERLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY2383) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: FL AY2383) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2023-02-28 |