NPI | 1184382038 |
---|---|
Former Name | KAYLA DANIELLE MERRIMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: WA 61174243) |
Additional Taxonomies | 231H00000X Audiologist (Licence: OR 31103) |
Enumeration Date | 2021-12-07 |
Last Update Date | 2024-08-28 |