NPI | 1245548817 |
---|---|
Former Name | DEVAN PEARL HAULK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: KY 100797) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KY 101876) |
Enumeration Date | 2010-09-16 |
Last Update Date | 2022-01-27 |