NPI | 1790961365 |
---|---|
Former Name | KATIE M JASPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: TX 80355) |
Additional Taxonomies | 231H00000X Audiologist (Licence: HI 111) |
Enumeration Date | 2008-01-14 |
Last Update Date | 2019-07-08 |