NPI | 1083750996 |
---|---|
Former Name | ELIZA SCHWAB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: ID AUD-1142) |
Additional Taxonomies | 231H00000X Audiologist (Licence: WY A-974) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2023-04-19 |