| NPI | 1750962700 |
|---|---|
| Former Name | JORDAN TAYLOR THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: AR 201373) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2024-06-03 |