NPI | 1285914044 |
---|---|
Former Name | MEREDITH LEA FETCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: SC 4092) |
Additional Taxonomies | 231H00000X Audiologist (Licence: NY 002365-1) |
Enumeration Date | 2011-08-25 |
Last Update Date | 2018-10-16 |