NPI | 1326080292 |
---|---|
Former Name | SHELLY M GROSSMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: ND 570) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: ND H-0217) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2023-09-01 |