NPI | 1164829875 |
---|---|
Former Name | KARLA K SPEIDEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MD 02731) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: DE 030000251) |
237700000X Hearing Instrument Specialist (Licence: VA 2101002079) | |
Enumeration Date | 2014-11-24 |
Last Update Date | 2016-06-07 |