NPI | 1700363769 |
---|---|
Former Name | JESSICA LYNN STRZEPEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NY 003165) |
Additional Taxonomies | 231H00000X Audiologist (Licence: SC 4102) |
Enumeration Date | 2018-07-23 |
Last Update Date | 2024-12-17 |