NPI | 1386169910 |
---|---|
Former Name | BRIANA CHRISTINE CLARKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NC 12590) |
Additional Taxonomies | 231H00000X Audiologist (Licence: SC 4083) |
Enumeration Date | 2017-08-04 |
Last Update Date | 2021-04-29 |