NPI | 1396961868 |
---|---|
Former Name | ANN MARIE WALCEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU1181) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA HA2863) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2020-06-16 |