| NPI | 1366698946 |
|---|---|
| Former Name | TERESA A NEWGENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 13670) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: VA 2201001479) |
| 231H00000X Audiologist (Licence: DC HD0300079) | |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2019-11-14 |