NPI | 1093205536 |
---|---|
Former Name | BRENNA DANIELLE MELVIN PETERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU3578) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA HTL10211) |
Enumeration Date | 2018-05-10 |
Last Update Date | 2023-12-20 |