NPI | 1952568404 |
---|---|
Former Name | JESSA NICOLE MUSCIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU2431) |
Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: CA HA6085) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2008-05-21 |