NPI | 1316429426 |
---|---|
Former Name | HALLIE MARIE GANCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: PA AT006584) |
Additional Taxonomies | 231H00000X Audiologist (Licence: PA AT006584) |
Enumeration Date | 2018-09-05 |
Last Update Date | 2022-04-25 |