NPI | 1245494335 |
---|---|
Former Name | MARY ANN CALDWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NC 5263) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NC 978) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2023-09-05 |