NPI | 1366826026 |
---|---|
Former Name | LARISSA MORGAN HECKLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NC 12614) |
Additional Taxonomies | 231H00000X Audiologist (Licence: PA AT006423) |
Enumeration Date | 2015-07-13 |
Last Update Date | 2018-06-13 |