NPI | 1124415575 |
---|---|
Former Name | ABBY MOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: PA AT006841) |
Additional Taxonomies | 231H00000X Audiologist (Licence: TX 80980) |
231H00000X Audiologist (Licence: VA 2201001558) | |
Enumeration Date | 2015-04-23 |
Last Update Date | 2023-12-28 |