NPI | 1295973576 |
---|---|
Former Name | CRISTEN A MARKOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: LA 6396) |
Additional Taxonomies | 231H00000X Audiologist (Licence: CO 524) |
Enumeration Date | 2009-01-26 |
Last Update Date | 2011-11-10 |