NPI | 1184868127 |
---|---|
Former Name | CATHLEEN M BRUECKNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: TX 80547) |
Additional Taxonomies | 231H00000X Audiologist (Licence: WI 535-156) |
Enumeration Date | 2009-04-21 |
Last Update Date | 2016-01-05 |