NPI | 1366403222 |
---|---|
Former Name | JANE KRISTINE CRABTREE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: IA 00587) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: IA 00872) |
Enumeration Date | 2006-03-30 |
Last Update Date | 2007-07-08 |