| NPI | 1689311292 |
|---|---|
| Former Name | JANINE VICTORIA WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 81710) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 81710) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NM AUD7804) | |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2025-01-17 |