NPI | 1083864953 |
---|---|
Former Name | CAROLYN MENTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NC 10267) |
Additional Taxonomies | 231H00000X Audiologist (Licence: IL 147000885) |
Enumeration Date | 2008-09-26 |
Last Update Date | 2021-07-28 |