NPI | 1093986580 |
---|---|
Former Name | MOLLY GRAY POWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: OR 805607) |
Additional Taxonomies | 231H00000X Audiologist (Licence: OR 21377) |
Enumeration Date | 2008-03-12 |
Last Update Date | 2011-07-05 |