| 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 |