NPI | 1225387459 |
---|---|
Former Name | LISA DUONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: HI 172) |
Additional Taxonomies | 231H00000X Audiologist (Licence: FL AY1757) |
231H00000X Audiologist (Licence: WA LD60464380) | |
Enumeration Date | 2012-09-04 |
Last Update Date | 2017-03-20 |