NPI | 1124448717 |
---|---|
Former Name | LESLIE ANN TOWNSEND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: WI 692) |
Additional Taxonomies | 231H00000X Audiologist (Licence: VA 2201001550) |
Enumeration Date | 2014-04-22 |
Last Update Date | 2023-04-19 |