NPI | 1033802046 |
---|---|
Former Name | MELISSA ANNE OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: TX 81441) |
Additional Taxonomies | 231H00000X Audiologist (Licence: NM SLP-2023-0191) |
Enumeration Date | 2023-05-26 |
Last Update Date | 2024-05-13 |