| NPI | 1093050692 |
|---|---|
| Former Name | LIZA M BUTTON BONNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001240) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: VA 2101001668) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: VA 2101001668) | |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2012-12-07 |