NPI | 1962180141 |
---|---|
Former Name | JORDAN LINDLEY RUSSELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: TX 81643) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 81643) |
Enumeration Date | 2023-07-07 |
Last Update Date | 2023-07-07 |