NPI | 1215060017 |
---|---|
Former Name | HEIDI MICHELLE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: OR 30791) |
Additional Taxonomies | 231H00000X Audiologist (Licence: WA 61094500) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2021-12-20 |