NPI | 1134598014 |
---|---|
Former Name | CYNTHIA LOUISE FREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: CA 3136) |
Additional Taxonomies | 231H00000X Audiologist (Licence: NM 5864) |
Enumeration Date | 2015-09-21 |
Last Update Date | 2024-07-03 |