| NPI | 1356383558 |
|---|---|
| Former Name | CHERYLE ANN ANDRESEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001176) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: VA 2101 001409) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-03-06 |