| NPI | 1780701516 |
|---|---|
| Former Name | JERRILYN COOK FRAISER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: LA 4487) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: LA 4487) |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: LA 4487) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: LA 4487) | |
| 235Z00000X Speech-Language Pathologist, (Licence: LA 4487) | |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2023-01-19 |