NPI | 1134853906 |
---|---|
Former Name | KATIE RORICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: KS 2102) |
Additional Taxonomies | 231H00000X Audiologist (Licence: MO 2022032521) |
Enumeration Date | 2022-07-15 |
Last Update Date | 2024-11-22 |