| NPI | 1184011678 |
|---|---|
| Other Name | SO MANG MOON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 13693) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 80566) |
| 231H00000X Audiologist (Licence: UT 9292723-4101) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2021-09-02 |