NPI | 1013249895 |
---|---|
Former Name | PAULA KAY BRANDELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: CT 000267) |
Additional Taxonomies | 231H00000X Audiologist (Licence: MA 977) |
231H00000X Audiologist (Licence: RI AUD00200) | |
Enumeration Date | 2010-02-04 |
Last Update Date | 2014-10-24 |