NPI | 1013040195 |
---|---|
Former Name | REBECCA SUE ZELLMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: AR A274) |
Additional Taxonomies | 231H00000X Audiologist (Licence: SD 324A) |
237600000X Audiologist-Hearing Aid Fitter (Licence: AR A274) | |
Enumeration Date | 2007-03-14 |
Last Update Date | 2011-01-17 |