NPI | 1407248735 |
---|---|
Former Name | BRIDGET THERESA LAFFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: OK 5257) |
Additional Taxonomies | 231H00000X Audiologist (Licence: MA SP-1057-AU) |
Enumeration Date | 2015-02-24 |
Last Update Date | 2021-03-16 |