NPI | 1013582501 |
---|---|
Former Name | STORMY M COLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: ID AUD-4741) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: ID AUD-4741) |
Enumeration Date | 2021-05-26 |
Last Update Date | 2024-06-21 |