NPI | 1245524735 |
---|---|
Former Name | MICHELLE RENEE SCOFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: CT 231) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CT 231) |
Enumeration Date | 2011-06-02 |
Last Update Date | 2021-06-24 |