NPI | 1053416297 |
---|---|
Former Name | AMBER MARIE LIM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NY 002165) |
Additional Taxonomies | 231H00000X Audiologist (Licence: AZ TAUD5035) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2021-08-03 |