NPI | 1043620032 |
---|---|
Former Name | STEPHANIE MARIE BAJ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: AL 1146a) |
Additional Taxonomies | 231H00000X Audiologist |
Enumeration Date | 2014-04-30 |
Last Update Date | 2023-04-27 |