NPI | 1144663816 |
---|---|
Former Name | ELIZABETH FARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: CO AUD.0000727) |
Additional Taxonomies | 231H00000X Audiologist (Licence: IL 147.0011451) |
Enumeration Date | 2013-04-12 |
Last Update Date | 2016-11-17 |