| NPI | 1174635890 |
|---|---|
| Former Name | NANCY CAROL MONACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000001182) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TN 0000000159) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: TN 0000000159) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-10-09 |