NPI | 1194989020 |
---|---|
Other Name | MOLLIE DAWN CARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MN 8346) |
Additional Taxonomies | 231H00000X Audiologist (Licence: CA AU 2915) |
Enumeration Date | 2008-07-10 |
Last Update Date | 2020-09-10 |