| NPI | 1750545430 |
|---|---|
| Former Name | JILL MARIE BUCKINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MN 10021) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TN 1518) |
| 231H00000X Audiologist (Licence: TN AuD01518) | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2020-08-04 |