NPI | 1073864997 |
---|---|
Former Name | MALLORIE K OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: WA LD60675180) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: WA LD60675180) |
Enumeration Date | 2012-10-02 |
Last Update Date | 2022-02-08 |