NPI | 1417184037 |
---|---|
Former Name | SARA A ROBIDOUX |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2009015804) |
Additional Taxonomies | 231H00000X Audiologist (Licence: KS 2175) |
Enumeration Date | 2009-06-22 |
Last Update Date | 2024-07-23 |