NPI | 1265574404 |
---|---|
Former Name | JUDITH MARQUESS LARA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: IN 23002471A) |
Additional Taxonomies | 231H00000X Audiologist (Licence: CA AU 1981) |
237600000X Audiologist-Hearing Aid Fitter (Licence: CA AU 1981) | |
Enumeration Date | 2007-02-13 |
Last Update Date | 2024-06-06 |