NPI | 1144607540 |
---|---|
Former Name | MELISSA MARIE VIPOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: ND 2226) |
Additional Taxonomies | 231H00000X Audiologist (Licence: CO 695) |
Enumeration Date | 2015-05-05 |
Last Update Date | 2023-02-09 |