NPI | 1629324447 |
---|---|
Former Name | JESSICA E TRIBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: WA LD60293073) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: WA LD60293073) |
Enumeration Date | 2012-07-30 |
Last Update Date | 2022-08-15 |