| NPI | 1952556532 |
|---|---|
| Former Name | JACQUELYN HEEREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IA 100401) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NV A-211 Dispensing) |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: IA 100424) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: IA 100424) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NV A-211 Dispensing) | |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2024-06-05 |