| NPI | 1407285570 |
|---|---|
| Former Name | TRACEY ELIZABETH HERRIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001539) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: VA 22010015-39) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2019-08-08 |