NPI | 1003102740 |
---|---|
Former Name | EMILY GRAHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NC 14016) |
Additional Taxonomies | 231H00000X Audiologist (Licence: FL AY2093) |
Enumeration Date | 2011-06-21 |
Last Update Date | 2021-04-28 |