NPI | 1265682041 |
---|---|
Former Name | BROOKE PISCHKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: IA 107562) |
Additional Taxonomies | 231H00000X Audiologist (Licence: MN 8330) |
Enumeration Date | 2008-09-29 |
Last Update Date | 2024-01-11 |