| NPI | 1770348179 |
|---|---|
| Former Name | LORI RICO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CT 770) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CT 770) |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-03-14 |