NPI | 1144667825 |
---|---|
Former Name | DYANNA J HAMSTRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: IN 23002532A) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: IN 23002532A) |
Enumeration Date | 2013-06-04 |
Last Update Date | 2022-03-08 |