NPI | 1194032607 |
---|---|
Former Name | CARRIE ELIZABETH VENEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MD 01205) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MD 01205) |
Enumeration Date | 2010-09-03 |
Last Update Date | 2015-03-30 |