| NPI | 1144279266 |
|---|---|
| Former Name | STACEY DAWN DICKINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KS A00921) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2015-06-22 |